Billing
Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific…
Skilled nursing facility (SNF) benefits exhaust
Read this article to learn more about billing skilled nursing facility (SNF) claims when benefits have exhausted.
Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program
This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.
Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program
This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.
Quick reference chart for Medicare Secondary Payer (MSP) claims
Review this chart for information on submitting accurate MSP claims.
Medicare secondary payer (MSP): Medicare as the tertiary payer
Read this article for information on how to submit your Part B claim when more than one insurance is primary to Medicare.
Medicare secondary payer (MSP): Medicare as the tertiary payer
Read this article for billing guidelines when Medicare is the tertiary payer.
2026 - 2027 influenza, pneumococcal, and hepatitis B vaccine reimbursement
Review this article for the payment allowances and effective dates for the 2026-2027 flu season.